Healthcare Provider Details

I. General information

NPI: 1376591867
Provider Name (Legal Business Name): M.S. LOVING INSTITUTE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3750 WEST 16 AVE SUITE #206
HIALEAH FL
33012
US

IV. Provider business mailing address

3750 WEST 16 AVE SUITE #206
HIALEAH FL
33012
US

V. Phone/Fax

Practice location:
  • Phone: 305-827-5076
  • Fax: 305-827-5077
Mailing address:
  • Phone: 305-827-5076
  • Fax: 305-827-5077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License NumberME40245
License Number StateFL

VIII. Authorized Official

Name: GILBERT SANABRIA JR.
Title or Position: PRESIDENT
Credential:
Phone: 954-987-1975